Indiana
Professional Licensing Agency
Stephanie A. Sciacca
Radiology Provisional Permit
License number
XP501655
Date granted
02/12/2009
Date expires
08/12/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Mishawaka IN 46544-6140
indianalicensing.org
ID 8493869
LAST UPDATED 2024-05-11 19:08:54 UTC
LAST UPDATED 2024-05-11 19:08:54 UTC
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